Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $575.44	Professional		$269.15	$338.84	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $162.18	Professional	26	$77.62	$102.33	$162.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $229.09 / $407.38	Professional	TC	$190.55	$229.09	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $288.40 / $338.84	Professional		$199.53	$288.40	$338.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $100.00	Professional	26	$58.88	$83.18	$100.00
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $204.17 / $239.88	Professional	TC	$141.25	$204.17	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $363.08 / $549.54	Professional		$218.78	$363.08	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $154.88	Professional	26	$77.62	$109.65	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $263.03 / $407.38	Professional	TC	$173.78	$263.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $446.68	Professional		$218.78	$316.23	$446.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $91.20 / $138.04	Professional	26	$66.07	$91.20	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $218.78 / $323.59	Professional	TC	$147.91	$218.78	$323.59